NPI | 1477008662 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2550) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 111501) |
Enumeration Date | 2016-08-18 |
Last Update Date | 2019-06-26 |